Remote Workers' Comp Claims Examiner

Sedgwick; Hartford (CT); Hybrid; USD 64,000 - 85,000; Full time

Benefits offered by this job

Flexible work schedule

Referral incentive program

Agile environment

Career development

Job summary

Sedgwick, the world’s leading risk and claims administration partner, is seeking a Claims Examiner - Workers Compensation to adjudicate complex claims for major clients from a flexible, hybrid remote environment.

You will analyze claims to determine benefits, negotiate settlements within authority, and communicate with claimants and clients while benefiting from a comprehensive benefits package.

Qualifications

• High School Diploma or GED required.
• Bachelor's degree preferred.
• Professional certification as applicable to line of business preferred.
• 5 years of claims management experience or equivalent combination of education and experience required.

Responsibilities

• Analyzing and processing claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the claim.
• Negotiating settlement of claims within designated authority.
• Communicating claim activity and processing with the claimant and the client.
• Reporting claims to the excess carrier and responding to requests of directions in a professional and timely manner.

Skills

Analytical thinking

Negotiation

Communication skills

Time management

Education

High School Diploma or GED

Bachelor's degree

Professional certification

Job description

Sedgwick, the world’s leading risk and claims administration partner, is seeking a Claims Examiner - Workers Compensation to adjudicate complex claims for major clients from a flexible, hybrid remote environment.

You will analyze claims to determine benefits, negotiate settlements within authority, and communicate with claimants and clients while benefiting from a comprehensive benefits package.